Individual
ALICIA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
900 ROUND VALLEY DR, PARK CITY, UT 84060-7552
(435) 658-7000
Mailing address
6318 VIEW DR, PARK CITY, UT 84098-6156
(435) 655-1210
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12326251-4201
UT
Other
Enumeration date
11/14/2021
Last updated
10/05/2022
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